Management of acute type A intramural hematoma: upfront surgery or individualized approach? A retrospective analysis and meta-analysis

The 1-year survival after type A IMH was promising, regardless of approach. The conservative-first approach was found to be safe & feasible, and upfront surgery remained the management of choice in general. Patients with MAD ≥45 mm was associated with subsequent aortic intervention in the medical-first group.